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To: Anthony Wong who wrote (1172)12/3/1998 1:04:00 AM
From: Anthony Wong  Respond to of 1722
 
Just how healthy are drug stocks?
Fund manager shifts toward midcap health stocks
cbs.marketwatch.com



To: Anthony Wong who wrote (1172)12/3/1998 1:09:00 AM
From: Anthony Wong  Read Replies (1) | Respond to of 1722
 
[PNU's] Detrol approved in Canada
TORONTO, ON -- Dec. 2, 1998 -- Health Canada has approved Pharmacia
& Upjohn's Detrolâ„¢ (tolterodine) Tablets, a new medication for the treatment
of incontinence.

Detrol is the first new drug in 12 years approved for this condition. Its
effectiveness is combined with fewer side effects, such as severe dry mouth, that
are common in other bladder control medications.

Detrol curbs involuntary contractions of the detrusor muscle that surrounds the
bladder. When this smooth muscle contracts, the flow of urine begins. Taken
twice daily, Detrol 2 mg acts quickly to restore bladder stability and control
bladder function.

"Detrol works to reduce this uncontrolled bladder activity," said Dr. Sender
Herschorn, chief of urology at Sunnybrook Health Science Centre. "Because of
the way it works, unpleasant side effects are drastically lessened. Increased
tolerability means that patients are more likely to continue the medication and
benefit from it."

Overactive bladder is a major clinical problem with profound effects on patients'
quality of life and activities of daily living. Symptoms include combinations of
increased frequency of urination, a sudden urge or desire to urinate due to
contraction of the detrusor muscle, or involuntary urine loss. Over 1.5 million
Canadians suffer from some type of incontinence.

Loss of bladder control affects people of all ages, primarily women and can
disrupt work, leisure, sleep, sexual and social activity. It may cause sufferers to
stop working, curtail their social activities and either restrict travel or stay at
home. For example, some people plan day trips around public washroom
locations or wear dark clothes to hide leakage.

"The arrival of Detrol represents new hope for people using often ineffective
methods to manage overactive bladder symptoms," Dr. Herschorn said. "For
those suffering in silence, Detrol may provide relief and renewed freedom. For
some it may mean a return to work and once again being productive and
enjoying a social life."

Family physicians are not asking about bladder health as often as they could.
According to a recent Canadian Continence Foundation survey, when asked
about their treatment history, almost 42 percent of 788 Canadians with loss of
bladder control reported that their doctors had never asked whether they
experienced any urine leakage. Respondents were 81 percent female, a figure
consistent with female representation in other study findings and 29 percent were
between the ages of 21 and 56, reinforcing the fact that loss of bladder control is
not just a seniors' issue. The survey also revealed that women are less likely to
consult a physician for treatment -- an alarming discovery since women suffer
more commonly than men.

Detrol was designed in response to the unmet need for a tolerable and effective
long-term treatment of overactive bladder. In the largest clinical development
program (almost 2,000 adult patients), pooled clinical data showed Detrol (2 mg
twice daily) significantly reduced both the number of times people urinated over a
24-hour period and the number of incontinence episodes experienced over the
same period. In clinical trials, Detrol demonstrated an excellent safety profile,
especially in terms of dry mouth. The dry mouth side-effect was seen half as
often as with other incontinence medications.